Based on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure physician's admission orders [REDACTED]. Findings include: The facility's policy regarding admission criteria, dated (MONTH) 20, (YEAR), indicated that prior to, or at the time of admission, the resident's attending physician must provide the facility with information needed for the immediate care of the resident, including orders that covered medication. Nursing notes for Resident 8, dated (MONTH) 4, 2019, indicated the resident was admitted to the facility from another nursing care facility at 3:40 p.m. with [DIAGNOSES REDACTED]. …
F635 citations in Pennsylvania
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Pennsylvania cites F635 less often than its own record predicts
0.27 times the national share — cited less often here than elsewhere.
Of every deficiency written in Pennsylvania in 2024, this is the portion that was F635.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F635 findings written in Pennsylvania, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on review of clinical records and facility policy, and staff interviews, it was determined the facility failed to ensure physician medication orders were entered in the clinical record upon admission for the resident's immediate care needs for one of one residents (Resident R1). Findings include: Review of facility policy entitled Physician Services dated 12/1/25, indicated All orders must be recorded in the resident's clinical record. Review of Resident R1's clinical record revealed an admission date of 4/22/26, with diagnoses that included anxiety (a condition that causes a person to be nervous, uneasy, or worried about something or someone), end stage renal disease (a diseases where the kidneys no longer work to meet the body's needs), and congestive heart failure (the inability… …
What else Pennsylvania surveyors cite →
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